Questions and Answers | Latest Version
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A client with heart failure is receiving a blood transfusion. What should the nurse monitor for?
A. Hypokalemia
✔✔ B. Fluid overload
C. Hypothermia
D. Thrombocytopenia
What should the nurse do if a unit of blood is not used within 30 minutes of removal from the
blood bank?
✔✔ A. Return it to the blood bank
B. Place it in the medication fridge
C. Label it for later use
D. Warm it for 10 minutes
Which of the following is a priority nursing action during the first 15 minutes of a transfusion?
A. Document the intake and output
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,✔✔ B. Stay with the client and monitor for reactions
C. Check electrolyte levels
D. Prepare the next dose of medication
Which IV gauge is most appropriate for administering packed red blood cells in an adult?
A. 24 gauge
✔✔ B. 20 gauge
C. 25 gauge
D. 16 gauge butterfly
What is the correct action when a transfusion reaction is suspected?
✔✔ A. Stop the transfusion and maintain the IV line with saline
B. Call radiology for a chest x-ray
C. Flush the line with dextrose
D. Recheck the blood bag label
A client receiving a transfusion reports itching and has a mild rash. What is the nurse’s first
action?
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, ✔✔ A. Stop the transfusion
B. Reassure the client
C. Apply lotion
D. Continue and monitor closely
Why must blood products be infused with filtered tubing?
A. To prevent electrolyte imbalance
B. To regulate flow rate
✔✔ C. To remove clots and debris
D. To prevent infection
Which blood product is indicated for a client with thrombocytopenia?
A. Fresh frozen plasma
✔✔ B. Platelets
C. Packed red blood cells
D. Albumin
When documenting a completed transfusion, what information should be included?
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